| Bonnie Craemer Llc | |
|
2205 Riverstone Blvd Ste 273 Canton GA 30114-5250 | |
| (770) 209-3908 | |
| Not Available |
| Full Name | Bonnie Craemer Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2205 Riverstone Blvd Ste 273, Canton, Georgia |
| Authorized Official Name and Position | Bonnie Petrie Craemer (OWNER/PSCYHOTHERAPIST) |
| Authorized Official Contact | 7702093908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Craemer Llc 2205 Riverstone Blvd Ste 273 Canton GA 30114-5250 Ph: (770) 209-3908 | Bonnie Craemer Llc 2205 Riverstone Blvd Ste 273 Canton GA 30114-5250 Ph: (770) 209-3908 |
| NPI Number | 1285365593 |
|---|---|
| Provider Enumeration Date | 06/19/2022 |
| Last Update Date | 06/19/2022 |
| Certification Date | 06/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285365593 | NPI | - | NPPES |
| 1689997934 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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